Healthcare Provider Details

I. General information

NPI: 1477703908
Provider Name (Legal Business Name): FLOY S HASCHKE MS, APN, CANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2008
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 N. OAKLAWN AVENUE SUITE 104
ELMHURST IL
60126
US

IV. Provider business mailing address

977 N. OAKLAWN AVENUE SUITE 104
ELMHURST IL
60126
US

V. Phone/Fax

Practice location:
  • Phone: 630-832-1775
  • Fax: 888-856-4648
Mailing address:
  • Phone: 630-832-1775
  • Fax: 888-856-4648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number209-002925
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: